Uses of Process Evaluation in the Maryland WIC 5-a-Day Promotion Program

Using a crossover design, the authors conducted a 6-month intervention program aimed at increasing fruit and vegetable consumption among women served by the Women, Infants, and Children program in Baltimore City and six Maryland counties. The theoretical framework for the interventions was the Trans...

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Bibliographic Details
Published in:Health education & behavior 2000-04, Vol.27 (2), p.254-263
Main Authors: Havas, Stephen, Anliker, Jean, Damron, Dorothy, Feldman, Robert, Langenberg, Patricia
Format: Article
Language:English
Subjects:
Adolescent
Adolescents
Adult
Behavior Change
Behavior Modification
Diet
Female
Females
Focus Groups
Formative Evaluation
Fruit
Fruits
Goal Orientation
Health education
Health Promotion - methods
Humans
Inservice Training
Intervention
Low Income
Maryland
Nutrition
Nutrition education
Nutrition Instruction
Nutritional Sciences - education
Peer Group
Peer Teaching
Pilot Projects
Poverty
Pregnancy
Printed Materials
Processes
Program Evaluation - methods
Public Assistance
Quality Assurance
Quality Control
Recruitment
Self Efficacy
Skill Development
Vegetables
Women
Young Children
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Summary:Using a crossover design, the authors conducted a 6-month intervention program aimed at increasing fruit and vegetable consumption among women served by the Women, Infants, and Children program in Baltimore City and six Maryland counties. The theoretical framework for the interventions was the Transtheoretical Model of Change. At 2 months postintervention, mean daily consumption had increased significantly more in intervention participants than in control participants. Extensive process evaluation data were collected to assess the quantity and quality of program services delivered. These included participant nutrition session evaluation forms and attendance logs, focus groups of attenders and nonattenders of sessions, information about peer educators, and postintervention surveys. Many lessons were learned about program delivery, factors affecting attendance, and the obstacles to dietary change. Strategies to increase participants' consumption of fruits and vegetables were modified based on these lessons and the process evaluations.
ISSN:1090-1981
1552-6127
DOI:10.1177/109019810002700211